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	<title>Comments for ICSI Health Care Blog</title>
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	<link>http://icsihealthcareblog.wordpress.com</link>
	<description>Transforming health care, together</description>
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		<title>Comment on Care Resource Mobilization (Part 2 of 3) by peggylee4</title>
		<link>http://icsihealthcareblog.wordpress.com/2012/08/22/care-resource-mobilization-part-2-of-3/#comment-846</link>
		<dc:creator><![CDATA[peggylee4]]></dc:creator>
		<pubDate>Thu, 30 Aug 2012 11:25:17 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=758#comment-846</guid>
		<description><![CDATA[Great post, thank you so much! These stats are very little known in the industry. You are awesome, thanks again..

&lt;a href=&quot;http://www.imagisterka.com/&quot; rel=&quot;nofollow&quot;&gt;gotowe prace licencjackie&lt;/a&gt;]]></description>
		<content:encoded><![CDATA[<p>Great post, thank you so much! These stats are very little known in the industry. You are awesome, thanks again..</p>
<p><a href="http://www.imagisterka.com/" rel="nofollow">gotowe prace licencjackie</a></p>
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		<title>Comment on Can Aviation Help Medicine Navigate Health Care Transformation? by Sam Apex</title>
		<link>http://icsihealthcareblog.wordpress.com/2012/08/10/can-aviation-help-medicine-navigate-health-care-transformation/#comment-798</link>
		<dc:creator><![CDATA[Sam Apex]]></dc:creator>
		<pubDate>Thu, 16 Aug 2012 10:33:33 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=752#comment-798</guid>
		<description><![CDATA[to succesfully transform the healthcare system, the government needs to be investing more and more money into the healthcare system in order to make it more efficient and create more jobs such as social care jobs or nursing jobs, also money could be invested into research and development to find new cures and medicines.

Sam Apex
www.apexhsc.co.uk]]></description>
		<content:encoded><![CDATA[<p>to succesfully transform the healthcare system, the government needs to be investing more and more money into the healthcare system in order to make it more efficient and create more jobs such as social care jobs or nursing jobs, also money could be invested into research and development to find new cures and medicines.</p>
<p>Sam Apex<br />
<a href="http://www.apexhsc.co.uk" rel="nofollow">http://www.apexhsc.co.uk</a></p>
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		<title>Comment on Patient Engagement—Is Fair Process Needed? by goftedahl</title>
		<link>http://icsihealthcareblog.wordpress.com/2011/12/12/patient-engagement-is-fair-process-needed/#comment-711</link>
		<dc:creator><![CDATA[goftedahl]]></dc:creator>
		<pubDate>Wed, 25 Jan 2012 17:51:51 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=703#comment-711</guid>
		<description><![CDATA[Thanks for your comments, Elizabeth.  I&#039;ve been having a number of recent conversations with Judy Hibbard, and the work she&#039;s done with the PAM, in not only identifying a patient&#039;s readiness or capability for involvement, but also how  it might drive us to more appropriate and timely types of conversations.  We at ICSI are working on a model for creating &quot;Collaborative Conversations&quot; and I see great potential for the synergy which might occur  in these efforts.  As you&#039;ll note from other blogs I&#039;ve written, and an article I wrote for Minnesota Physician on patient engagement, there&#039;s a lot  we need to learn and think differently in how we implement it. ]]></description>
		<content:encoded><![CDATA[<p>Thanks for your comments, Elizabeth.  I&#8217;ve been having a number of recent conversations with Judy Hibbard, and the work she&#8217;s done with the PAM, in not only identifying a patient&#8217;s readiness or capability for involvement, but also how  it might drive us to more appropriate and timely types of conversations.  We at ICSI are working on a model for creating &#8220;Collaborative Conversations&#8221; and I see great potential for the synergy which might occur  in these efforts.  As you&#8217;ll note from other blogs I&#8217;ve written, and an article I wrote for Minnesota Physician on patient engagement, there&#8217;s a lot  we need to learn and think differently in how we implement it. </p>
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		<title>Comment on Groupthink or Collaborative Genius?  Leave me alone!! by Plish</title>
		<link>http://icsihealthcareblog.wordpress.com/2012/01/17/groupthink-or-collaborative-genius-leave-me-alone/#comment-708</link>
		<dc:creator><![CDATA[Plish]]></dc:creator>
		<pubDate>Wed, 18 Jan 2012 03:52:16 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=713#comment-708</guid>
		<description><![CDATA[Well done article, and research on brainstorming supports the value of individuals and smaller groups.

When I facilitate brainstormings I break it down into a three tiered approach with prep work.

The prep work is done to &#039;prime the pump&#039; and get people thinking in different ways about the problem at hand.  

The First tier  is for people to come up with ideas on their own, and document these sketches, explanations.  The Second tier is a group brainstorm where all ideas are shared and additional digging is done to flesh out other possible challenges.  The third is when everyone goes back, by themselves, and builds upon the first two tiers.  All this information then gets collated and shared.  The best ideas get picked and prototyping begins right away.

Bouncing ideas off others, collatboration, &#039;design by committee&#039;, are all very different things.  However, the one thing they have in common is the individual who dreams, imagines, &#039;sketches&#039; in whatever medium she is comfortable with, and isn&#039;t afraid to share those visions for products or services.  

Such are all beginnings...]]></description>
		<content:encoded><![CDATA[<p>Well done article, and research on brainstorming supports the value of individuals and smaller groups.</p>
<p>When I facilitate brainstormings I break it down into a three tiered approach with prep work.</p>
<p>The prep work is done to &#8216;prime the pump&#8217; and get people thinking in different ways about the problem at hand.  </p>
<p>The First tier  is for people to come up with ideas on their own, and document these sketches, explanations.  The Second tier is a group brainstorm where all ideas are shared and additional digging is done to flesh out other possible challenges.  The third is when everyone goes back, by themselves, and builds upon the first two tiers.  All this information then gets collated and shared.  The best ideas get picked and prototyping begins right away.</p>
<p>Bouncing ideas off others, collatboration, &#8216;design by committee&#8217;, are all very different things.  However, the one thing they have in common is the individual who dreams, imagines, &#8216;sketches&#8217; in whatever medium she is comfortable with, and isn&#8217;t afraid to share those visions for products or services.  </p>
<p>Such are all beginnings&#8230;</p>
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		<title>Comment on Patient Engagement—Is Fair Process Needed? by Elizabeth Bye</title>
		<link>http://icsihealthcareblog.wordpress.com/2011/12/12/patient-engagement-is-fair-process-needed/#comment-696</link>
		<dc:creator><![CDATA[Elizabeth Bye]]></dc:creator>
		<pubDate>Tue, 13 Dec 2011 17:33:55 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=703#comment-696</guid>
		<description><![CDATA[What you said about the trap of equating silence as acceptance rather than what it might be—disbelief or confusion—really resonated with me. We’ve heard from our clients’ patients about how much they appreciate receiving their health information in a way that is meaningful to them—using their PAM score to help meet them where they currently are in their ability to manage their own health, so they’re not overwhelmed or underwhelmed.]]></description>
		<content:encoded><![CDATA[<p>What you said about the trap of equating silence as acceptance rather than what it might be—disbelief or confusion—really resonated with me. We’ve heard from our clients’ patients about how much they appreciate receiving their health information in a way that is meaningful to them—using their PAM score to help meet them where they currently are in their ability to manage their own health, so they’re not overwhelmed or underwhelmed.</p>
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		<title>Comment on Gary Oftedahl: When You&#8217;re Too Close to Your iPad.. by health care forum</title>
		<link>http://icsihealthcareblog.wordpress.com/2011/01/31/gary-oftedahl-when-youre-too-close-to-your-ipad/#comment-532</link>
		<dc:creator><![CDATA[health care forum]]></dc:creator>
		<pubDate>Sun, 06 Feb 2011 10:42:50 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=587#comment-532</guid>
		<description><![CDATA[I truly loved reading your post. Thanks!]]></description>
		<content:encoded><![CDATA[<p>I truly loved reading your post. Thanks!</p>
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		<title>Comment on Gary Oftedahl: When You&#8217;re Too Close to Your iPad.. by Tweets that mention Gary Oftedahl: When You’re Too Close to Your iPad.. « ICSI Health Care Blog -- Topsy.com</title>
		<link>http://icsihealthcareblog.wordpress.com/2011/01/31/gary-oftedahl-when-youre-too-close-to-your-ipad/#comment-529</link>
		<dc:creator><![CDATA[Tweets that mention Gary Oftedahl: When You’re Too Close to Your iPad.. « ICSI Health Care Blog -- Topsy.com]]></dc:creator>
		<pubDate>Tue, 01 Feb 2011 18:18:53 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=587#comment-529</guid>
		<description><![CDATA[[...] This post was mentioned on Twitter by Gary Oftedahl, Gary Oftedahl. Gary Oftedahl said: Blogging again, after a break--on getting &quot;too close&quot; to your iPad... http://bit.ly/eeqMaZ [...]]]></description>
		<content:encoded><![CDATA[<p>[...] This post was mentioned on Twitter by Gary Oftedahl, Gary Oftedahl. Gary Oftedahl said: Blogging again, after a break&#8211;on getting &quot;too close&quot; to your iPad&#8230; <a href="http://bit.ly/eeqMaZ" rel="nofollow">http://bit.ly/eeqMaZ</a> [...]</p>
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		<title>Comment on Jim Trevis: Why Do Many Oppose Evidence-based Health Care? by Eddy Jenner</title>
		<link>http://icsihealthcareblog.wordpress.com/2010/11/29/jim-trevis-why-do-many-oppose-evidence-based-health-care/#comment-509</link>
		<dc:creator><![CDATA[Eddy Jenner]]></dc:creator>
		<pubDate>Tue, 30 Nov 2010 05:01:44 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=562#comment-509</guid>
		<description><![CDATA[This is a very good question but is worth turning around.  Before the movement &#039;evidence-based-medicine&#039; presented itself in the 1990s what was the practice of medicine based on?  Was it really all leeches and the authority of professors determined by the length of their beard?  Medicine has always been evidence-based and the practice would currently be just as evidence-based without a movement which calls itself &#039;evidence-based medicine&#039; and without clinicians seeking legitimacy for their practice by calling it &#039;evidence-based&#039;.

There&#039;s a whole parallel discussion occurring within mainstream medicine about whether the movement of &#039;evidence-based medicine&#039; as it has evolved is overly rigid, valuing epidemiological evidence above other sorts of evidence.  The randomised controlled trial sitting atop the pinnacle of EBM is very useful for some questions but other sorts of evidence are dismissed despite carrying as much scientific and epistemological authority.

To turn your legal analogy around, imagine if a prosecutor in a murder trial were to present this sort of evidence, &quot;these statistics indicate that males aged 30-35 from Delaware with red hair are 3 times more likely to commit murder than other people, and look, the 32 year old defendant from Delaware has red hair!!&quot;  You may not believe that such logical fallacies are committed in the name of &#039;evidence-based medicine&#039; but I can assure you they are with depressing regularity.]]></description>
		<content:encoded><![CDATA[<p>This is a very good question but is worth turning around.  Before the movement &#8216;evidence-based-medicine&#8217; presented itself in the 1990s what was the practice of medicine based on?  Was it really all leeches and the authority of professors determined by the length of their beard?  Medicine has always been evidence-based and the practice would currently be just as evidence-based without a movement which calls itself &#8216;evidence-based medicine&#8217; and without clinicians seeking legitimacy for their practice by calling it &#8216;evidence-based&#8217;.</p>
<p>There&#8217;s a whole parallel discussion occurring within mainstream medicine about whether the movement of &#8216;evidence-based medicine&#8217; as it has evolved is overly rigid, valuing epidemiological evidence above other sorts of evidence.  The randomised controlled trial sitting atop the pinnacle of EBM is very useful for some questions but other sorts of evidence are dismissed despite carrying as much scientific and epistemological authority.</p>
<p>To turn your legal analogy around, imagine if a prosecutor in a murder trial were to present this sort of evidence, &#8220;these statistics indicate that males aged 30-35 from Delaware with red hair are 3 times more likely to commit murder than other people, and look, the 32 year old defendant from Delaware has red hair!!&#8221;  You may not believe that such logical fallacies are committed in the name of &#8216;evidence-based medicine&#8217; but I can assure you they are with depressing regularity.</p>
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		<title>Comment on Gary Oftedahl:  Unintended Consequences&#8211;from the Dumbest Smart Person I Know by e-Patient Dave</title>
		<link>http://icsihealthcareblog.wordpress.com/2010/11/12/gary-oftedahl-unintended-consequences-from-the-dumbest-smart-person-i-know/#comment-500</link>
		<dc:creator><![CDATA[e-Patient Dave]]></dc:creator>
		<pubDate>Sat, 13 Nov 2010 22:41:55 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=557#comment-500</guid>
		<description><![CDATA[If I understand correctly (which I might not), the *real* problem is that the alleged security system wasn&#039;t secure enough to detect that it had been cut off from the Mother Ship.

Ever watched a crime movie where the first thing the burglars do is cut the wires to the alarm? What if a burglar had done that at your house - start by cutting the phone wire?

My impression is that modern systems instantly detect such a break - it&#039;s sorta like the &quot;dead man&#039;s clutch&quot; on lawn mowers and, I&#039;ve heard, motorcycles: the system only ACTS okay if it has a positive indication that the whole system&#039;s working. (Your hand on the clutch, or a working phone connection.)

One view of such things is that a well engineered (robust) system does everything possible to anticipate predictable breakdowns.

-- Meanwhile, yesterday I commented on &lt;a href=&quot;http://www.huffingtonpost.com/paul-tarini/genes-john-wayne-and-popu_b_782844.html&quot; rel=&quot;nofollow&quot;&gt;Paul Tarini&#039;s HuffPo article&lt;/a&gt; about genomics at TEDMED. I asserted that there can be *positive* unintended consequences, too - it&#039;s just the way the universe unfolds.

Yesterday I picked up the newspaper from my driveway and tossed it on the roof of my car. It slid across (unintended) to the windshield. I forgot it.

Later I got in and noticed it on the far side. Clever bastard, I turned on the wipers, figuring it would get the paper closer. In reality, the right wiper flipped it up, like a volleyball setup, and the left wiper scooped it up and pushed it up onto the roof, with enough velocity that it slid off, falling down past my still-open door.  

If I&#039;d been a little more alert I could have reached out and grabbed it. Talk about unintended!

The universe is full of joy and surprises. Enjoy life. (And maybe ask your company about the dead-man&#039;s alarm question!)]]></description>
		<content:encoded><![CDATA[<p>If I understand correctly (which I might not), the *real* problem is that the alleged security system wasn&#8217;t secure enough to detect that it had been cut off from the Mother Ship.</p>
<p>Ever watched a crime movie where the first thing the burglars do is cut the wires to the alarm? What if a burglar had done that at your house &#8211; start by cutting the phone wire?</p>
<p>My impression is that modern systems instantly detect such a break &#8211; it&#8217;s sorta like the &#8220;dead man&#8217;s clutch&#8221; on lawn mowers and, I&#8217;ve heard, motorcycles: the system only ACTS okay if it has a positive indication that the whole system&#8217;s working. (Your hand on the clutch, or a working phone connection.)</p>
<p>One view of such things is that a well engineered (robust) system does everything possible to anticipate predictable breakdowns.</p>
<p>&#8211; Meanwhile, yesterday I commented on <a href="http://www.huffingtonpost.com/paul-tarini/genes-john-wayne-and-popu_b_782844.html" rel="nofollow">Paul Tarini&#8217;s HuffPo article</a> about genomics at TEDMED. I asserted that there can be *positive* unintended consequences, too &#8211; it&#8217;s just the way the universe unfolds.</p>
<p>Yesterday I picked up the newspaper from my driveway and tossed it on the roof of my car. It slid across (unintended) to the windshield. I forgot it.</p>
<p>Later I got in and noticed it on the far side. Clever bastard, I turned on the wipers, figuring it would get the paper closer. In reality, the right wiper flipped it up, like a volleyball setup, and the left wiper scooped it up and pushed it up onto the roof, with enough velocity that it slid off, falling down past my still-open door.  </p>
<p>If I&#8217;d been a little more alert I could have reached out and grabbed it. Talk about unintended!</p>
<p>The universe is full of joy and surprises. Enjoy life. (And maybe ask your company about the dead-man&#8217;s alarm question!)</p>
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		<title>Comment on Gary Oftedahl: The Platform&#8217;s Burning&#8211;Now What? by e-Patient Dave</title>
		<link>http://icsihealthcareblog.wordpress.com/2010/11/08/gary-oftedahl-the-platforms-burning-now-what/#comment-496</link>
		<dc:creator><![CDATA[e-Patient Dave]]></dc:creator>
		<pubDate>Thu, 11 Nov 2010 03:34:45 +0000</pubDate>
		<guid isPermaLink="false">http://icsihealthcareblog.wordpress.com/?p=553#comment-496</guid>
		<description><![CDATA[Hm... has anyone identified the biological process (or even the origin) of the urge to seek certainty?

I&#039;ve long heard that people want easy answers, but I&#039;ve never seen it expressed as a fundamental drive. It makes sense now that I see it.

Next question: why can&#039;t Democrats figure out how to harness this?]]></description>
		<content:encoded><![CDATA[<p>Hm&#8230; has anyone identified the biological process (or even the origin) of the urge to seek certainty?</p>
<p>I&#8217;ve long heard that people want easy answers, but I&#8217;ve never seen it expressed as a fundamental drive. It makes sense now that I see it.</p>
<p>Next question: why can&#8217;t Democrats figure out how to harness this?</p>
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